MARY S. MCMILLAN (MD) – Internal Medicine Physician, NPI 1861451221

MARY S. MCMILLAN (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 40497 (MN). The NPI Number for MARY S. MCMILLAN (MD) is 1861451221

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
MARY S. MCMILLAN (MD)
NPI
1861451221
Phone
(612) 775-4800
Address
2800 Hennepin Ave S
Enumeration Date
22 March 2006
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
3206825225
Graduation Year
1993 (33 years ago)
PAC ID
9638208838
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20100526000903
Address ID
MN553021109AN440XXEXXX400

Contacts

Secure Messaging
mmcmillanmd23009@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,638 INTERNAL MEDICINE in MN

Provider Addresses for MARY S. MCMILLAN (MD)

  • 2800 Hennepin Ave S

    Minneapolis, MN 554081906

    Phone: (612) 775-4800

    Fax: (612) 775-4801

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 775-4800

    Fax: (612) 775-4801

    Type: Mailing

  • 10705 TOWN SQUARE DR NE STE 100

    BLAINE, MN 554498185

    Phone: (763) 236-5400

    Fax: (763) 236-5350

    Type: Location

  • Allina Medical Clinic, 2800, Hennepin Avenue South, East Isles, Uptown, Bde Maka Ska-Isles, Minneapolis, Hennepin County, Minnesota, 55408, United States

    MINNEAPOLIS, MN 554081906

    Phone: (612) 775-4800

    Fax: (612) 775-4801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100526000903IInternal MedicineMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample195116$0
99214Established patient office or other outpatient visit, 30-39 minutes162110$0
80048Blood test, basic group of blood chemicals (calcium, total)8563$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7575$0
85610Blood test, clotting time5313$0
View full utilization report →

Insurance plans in this area (ZIP 55408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MARY S. MCMILLAN (MD) for billing?
Administrative and clinical systems typically use NPI 1861451221 for MARY S. MCMILLAN (MD).
Should I treat MARY S. MCMILLAN (MD) as an active provider?
Patients and plans typically see MARY S. MCMILLAN (MD) as active in the national extract.
What does the directory say MARY S. MCMILLAN (MD) does?
Insurance directories may phrase it differently, but here MARY S. MCMILLAN (MD) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARY S. MCMILLAN (MD)?
MARY S. MCMILLAN (MD) shows a connection to Minneapolis, Minnesota in registry-derived data.
Who maintains MARY S. MCMILLAN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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